1 | 1 | | First Regular Session |
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2 | 2 | | Seventy-fifth General Assembly |
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3 | 3 | | STATE OF COLORADO |
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4 | 4 | | INTRODUCED |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | LLS NO. 25-0814.01 Chelsea Princell x4335 |
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8 | 8 | | HOUSE BILL 25-1251 |
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9 | 9 | | House Committees Senate Committees |
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10 | 10 | | Health & Human Services |
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11 | 11 | | A BILL FOR AN ACT |
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12 | 12 | | C |
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13 | 13 | | ONCERNING REQUIRING PARENTAL CONSENT BEFORE A MINOR MAY101 |
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14 | 14 | | OBTAIN MEDICAL SERVICES .102 |
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15 | 15 | | Bill Summary |
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16 | 16 | | (Note: This summary applies to this bill as introduced and does |
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17 | 17 | | not reflect any amendments that may be subsequently adopted. If this bill |
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18 | 18 | | passes third reading in the house of introduction, a bill summary that |
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19 | 19 | | applies to the reengrossed version of this bill will be available at |
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20 | 20 | | http://leg.colorado.gov |
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21 | 21 | | .) |
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22 | 22 | | The bill prohibits an individual, corporation, association, |
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23 | 23 | | organization, state-supported institution, or individual employed by any |
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24 | 24 | | of these entities from procuring, soliciting to perform, arranging for the |
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25 | 25 | | performance of, or performing a surgical procedure, or providing other |
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26 | 26 | | medical or mental health services to a minor without written or verbal |
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27 | 27 | | consent from the minor's parent. Parental consent is not required if the |
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28 | 28 | | HOUSE SPONSORSHIP |
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29 | 29 | | Bottoms, |
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30 | 30 | | SENATE SPONSORSHIP |
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31 | 31 | | (None), |
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32 | 32 | | Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment. |
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33 | 33 | | Capital letters or bold & italic numbers indicate new material to be added to existing law. |
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34 | 34 | | Dashes through the words or numbers indicate deletions from existing law. minor is in the custody of a county department of human or social |
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35 | 35 | | services or the division of youth services, in a medical emergency |
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36 | 36 | | situation, or there is a valid court order directing the provision of the |
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37 | 37 | | medical service. |
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38 | 38 | | Be it enacted by the General Assembly of the State of Colorado:1 |
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39 | 39 | | SECTION 1. In Colorado Revised Statutes, add 19-1-132 as2 |
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40 | 40 | | follows:3 |
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41 | 41 | | 19-1-132. Parental rights related to health care of a minor4 |
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42 | 42 | | child - exceptions - definitions. (1) A |
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43 | 43 | | S USED IN THIS SECTION, UNLESS5 |
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44 | 44 | | THE CONTEXT OTHERWISE REQUIRES :6 |
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45 | 45 | | (a) "M |
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46 | 46 | | EDICAL EMERGENCY" MEANS AN ACUTE INJURY, ILLNESS, OR7 |
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47 | 47 | | EXPOSURE THAT POSES AN I MMEDIATE RISK TO A PERSON 'S LIFE OR8 |
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48 | 48 | | LONG-TERM HEALTH, SUCH THAT THE ABSENCE OF IMMEDIATE MEDICAL9 |
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49 | 49 | | ATTENTION COULD REASONABLY BE EXPECTED TO RESULT IN PLACING THE10 |
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50 | 50 | | PERSON'S HEALTH IN SERIOUS JEOPARDY , INCLUDING A SERIOUS11 |
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51 | 51 | | IMPAIRMENT TO BODILY FUNCTION OR A SERIOUS DYSFUNCTION OF ANY12 |
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52 | 52 | | BODILY ORGAN OR PART.13 |
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53 | 53 | | (b) "M |
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54 | 54 | | EDICAL OR MENTAL HEALTH SERVICE " MEANS THE14 |
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55 | 55 | | TREATMENT OF A PHYSICAL ILLNESS , MENTAL HEALTH ILLNESS , OR15 |
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56 | 56 | | BEHAVIORAL DISORDER THAT IS REQUIRED TO BE PERFORMED BY A16 |
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57 | 57 | | LICENSED MEDICAL PROFESSIONAL .17 |
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58 | 58 | | (c) "M |
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59 | 59 | | INOR CHILD" MEANS A PERSON SEVENTEEN YEARS OF AGE OR18 |
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60 | 60 | | YOUNGER.19 |
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61 | 61 | | (d) "P |
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62 | 62 | | ARENT" MEANS THE NATURAL PARENT , ADOPTIVE PARENT,20 |
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63 | 63 | | OR LEGAL GUARDIAN WHO HAS LEGAL CUSTODY OF A CHILD .21 |
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64 | 64 | | (2) A |
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65 | 65 | | N INDIVIDUAL, CORPORATION, ASSOCIATION, ORGANIZATION,22 |
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66 | 66 | | STATE-SUPPORTED INSTITUTION, OR INDIVIDUAL EMPLOYED BY ANY OF23 |
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67 | 67 | | HB25-1251-2- THESE ENTITIES SHALL NOT PROVIDE, PROCURE, SOLICIT TO PERFORM, OR1 |
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68 | 68 | | ARRANGE FOR THE PERFORMANCE OF , OR PERFORM, A SURGICAL2 |
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69 | 69 | | PROCEDURE UPON, OR RENDER ANY OTHER MEDICAL OR MENTAL HEALTH3 |
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70 | 70 | | SERVICE TO, A MINOR CHILD WITHOUT FIRST OBTAINING WRITTEN OR4 |
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71 | 71 | | VERBAL CONSENT FROM THE MINOR 'S PARENT.5 |
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72 | 72 | | (3) N |
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73 | 73 | | OTWITHSTANDING SUBSECTION (2) OF THIS SECTION,6 |
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74 | 74 | | PARENTAL CONSENT IS NOT REQUIRED IF:7 |
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75 | 75 | | (a) A |
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76 | 76 | | N INDIVIDUAL, CORPORATION, ASSOCIATION, ORGANIZATION,8 |
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77 | 77 | | STATE-SUPPORTED INSTITUTION, OR INDIVIDUAL EMPLOYED BY ANY OF9 |
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78 | 78 | | THESE ENTITIES CERTIFIES IN GOOD FAITH THAT A MEDICAL EMERGENCY10 |
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79 | 79 | | EXISTED AT THE TIME OF DIAGNOSIS , TREATMENT, OR MEDICAL11 |
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80 | 80 | | INTERVENTION AND THERE WAS INSUFFICIENT TIME TO OBTAIN PARENTAL12 |
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81 | 81 | | CONSENT OR THAT, AT THE TIME OF THE MINOR CHILD 'S DIAGNOSIS,13 |
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82 | 82 | | TREATMENT, OR INTERVENTION , THE MINOR'S PARENT'S MEDICAL14 |
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83 | 83 | | CONDITION WAS SUCH THAT CONSENT COULD NOT BE OBTAINED ;15 |
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84 | 84 | | (b) A |
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85 | 85 | | MINOR IS IN THE CUSTODY OF A COUNTY DEPARTMENT OF16 |
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86 | 86 | | HUMAN OR SOCIAL SERVICES OR THE DIVISION OF YOUTH SERVICES IN THE17 |
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87 | 87 | | DEPARTMENT OF HUMAN SERVICES CREATED IN SECTION 19-2.5-1501; OR18 |
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88 | 88 | | (c) A |
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89 | 89 | | VALID COURT ORDER DIRECTS MEDICAL TREATMENT ,19 |
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90 | 90 | | DIAGNOSIS, OR INTERVENTION.20 |
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91 | 91 | | SECTION 2. In Colorado Revised Statutes, 12-245-216, amend21 |
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92 | 92 | | (2) as follows:22 |
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93 | 93 | | 12-245-216. Mandatory disclosure of information to clients.23 |
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94 | 94 | | (2) If the client is a minor who is consenting to mental health services |
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95 | 95 | | 24 |
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96 | 96 | | pursuant to section 27-65-104, disclosure must be made to the minor. If25 |
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97 | 97 | | the client is a minor whose parent or legal guardian is consenting to26 |
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98 | 98 | | mental health services, disclosure must be made to the minor's parent or27 |
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99 | 99 | | HB25-1251 |
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100 | 100 | | -3- legal guardian.1 |
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101 | 101 | | SECTION 3. In Colorado Revised Statutes, 13-22-103, amend2 |
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102 | 102 | | (1) as follows:3 |
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103 | 103 | | 13-22-103. Minors - consent for medical, dental, and related4 |
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104 | 104 | | care. (1) Except as otherwise provided in sections 15-19-204 |
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105 | 105 | | AND5 |
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106 | 106 | | 18-1.3-407 (4.5), and 25-4-409, |
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107 | 107 | | a minor eighteen years of age or older, or6 |
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108 | 108 | | a minor fifteen years of age or older who is living separate and apart from7 |
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109 | 109 | | his or her THE MINOR'S parent, parents, or legal guardian, with or without8 |
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110 | 110 | | the consent of his or her THE MINOR'S parent, parents, or legal guardian,9 |
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111 | 111 | | and is managing his or her THE MINOR'S own financial affairs, regardless10 |
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112 | 112 | | of the source of his or her income, or any minor who has contracted a11 |
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113 | 113 | | lawful marriage may give consent to organ or tissue donation or the12 |
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114 | 114 | | furnishing of hospital, medical, dental, emergency health, and surgical13 |
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115 | 115 | | care to himself or herself THE MINOR'S SELF. Such consent is not subject14 |
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116 | 116 | | to disaffirmance because of minority, and, when such consent is given,15 |
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117 | 117 | | the minor has the same rights, powers, and obligations as if he or she THE16 |
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118 | 118 | | MINOR'S had obtained majority. Consent to organ or tissue donation may17 |
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119 | 119 | | be revoked pursuant to section 15-19-206.18 |
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120 | 120 | | SECTION 4. In Colorado Revised Statutes, 19-1-115, amend19 |
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121 | 121 | | (8)(a) as follows:20 |
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122 | 122 | | 19-1-115. Legal custody - guardianship - placement out of the21 |
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123 | 123 | | home - petition for review for need of placement - rules.22 |
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124 | 124 | | (8) (a) Whenever it appears necessary that the placement of a child out23 |
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125 | 125 | | of the home will be for longer than ninety days, the placement is24 |
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126 | 126 | | voluntary and not court-ordered, and the placement involves the direct25 |
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127 | 127 | | expenditure of funds appropriated by the general assembly to the26 |
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128 | 128 | | department of human services, a petition for review of need for placement27 |
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129 | 129 | | HB25-1251 |
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130 | 130 | | -4- shall MUST be filed by the department or agency with which the child has1 |
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131 | 131 | | been IS placed before the expiration of ninety days in the placement. A2 |
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132 | 132 | | decree providing for voluntary placement of a child with an agency in3 |
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133 | 133 | | which public money is expended must be renewable in circumstances4 |
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134 | 134 | | when there is documentation that the child has an emotional, a physical,5 |
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135 | 135 | | or an intellectual disability that necessitates care and treatment for a6 |
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136 | 136 | | longer duration than ninety days as provided pursuant to this subsection7 |
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137 | 137 | | (8)(a). The court shall not transfer or require relinquishment of legal8 |
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138 | 138 | | custody of, or otherwise terminate the parental rights with respect to, a9 |
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139 | 139 | | child who has an emotional, a physical, or an intellectual disability and10 |
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140 | 140 | | who was voluntarily placed out of the home for the purposes of obtaining11 |
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141 | 141 | | special treatment or care solely because the parent or legal guardian is12 |
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142 | 142 | | unable to provide the treatment or care. Whenever a child fifteen years of13 |
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143 | 143 | | age or older consents to placement in a mental health facility pursuant to14 |
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144 | 144 | | section 27-65-104, the review pursuant to section 27-65-104 (4) must be15 |
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145 | 145 | | conducted in lieu of and must fulfill the requirements for review under16 |
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146 | 146 | | this subsection (8)(a).17 |
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147 | 147 | | SECTION 5. In Colorado Revised Statutes, 22-32-109, amend18 |
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148 | 148 | | (1)(ee) as follows:19 |
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149 | 149 | | 22-32-109. Board of education - specific duties - definitions.20 |
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150 | 150 | | (1) In addition to any other duty required to be performed by law, each21 |
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151 | 151 | | board of education has the following specific duties:22 |
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152 | 152 | | (ee) To adopt a policy to prohibit school personnel from23 |
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153 | 153 | | recommending or requiring the use of a psychotropic drug for any A24 |
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154 | 154 | | student. School personnel shall not test or require a test for a child's25 |
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155 | 155 | | behavior without prior written permission from the parents or guardians26 |
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156 | 156 | | or the child PARENT OR LEGAL GUARDIAN OF THE CHILD and prior written27 |
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157 | 157 | | HB25-1251 |
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158 | 158 | | -5- disclosure as to the disposition of the results or the testing. therefrom.1 |
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159 | 159 | | Through such policy, school personnel should be encouraged THE POLICY2 |
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160 | 160 | | MUST ENCOURAGE SCHOOL PERSONNEL to discuss concerns about a child's3 |
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161 | 161 | | behavior with the parent or legal guardian of such THE child, and such4 |
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162 | 162 | | THOSE discussions may include a suggestion by school personnel that the5 |
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163 | 163 | | parent or legal guardian |
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164 | 164 | | OF THE CHILD speak with an appropriate6 |
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165 | 165 | | health-care professional.7 |
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166 | 166 | | SECTION 6. In Colorado Revised Statutes, 25-1-801, repeal8 |
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167 | 167 | | (1)(d) as follows:9 |
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168 | 168 | | 25-1-801. Patient records in custody of health-care facility -10 |
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169 | 169 | | definitions. (1) (d) Nothing in this section requires a person responsible |
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170 | 170 | | 11 |
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171 | 171 | | for the diagnosis or treatment of sexually transmitted infections, a12 |
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172 | 172 | | substance use disorder, or the use of drugs in the case of minors pursuant13 |
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173 | 173 | | to sections 13-22-102 and 25-4-409 to release patient records of such14 |
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174 | 174 | | diagnosis or treatment to a parent, guardian, or person other than the15 |
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175 | 175 | | minor or his or her designated representative.16 |
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176 | 176 | | SECTION 7. In Colorado Revised Statutes, 25-1-802, repeal (2)17 |
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177 | 177 | | as follows:18 |
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178 | 178 | | 25-1-802. Patient records in custody of individual health-care19 |
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179 | 179 | | providers. (2) Nothing in this section requires a person responsible for20 |
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180 | 180 | | the diagnosis or treatment of sexually transmitted infections, substance21 |
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181 | 181 | | use disorders, or the use of drugs in the case of minors pursuant to22 |
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182 | 182 | | sections 13-22-102 and 25-4-409 to release patient records of such23 |
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183 | 183 | | diagnosis or treatment to a parent, guardian, or person other than the24 |
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184 | 184 | | minor or his or her designated representative.25 |
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185 | 185 | | SECTION 8. In Colorado Revised Statutes, 25-1-1202, amend26 |
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186 | 186 | | (1)(aaa) as follows:27 |
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187 | 187 | | HB25-1251 |
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188 | 188 | | -6- 25-1-1202. Index of statutory sections regarding medical1 |
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189 | 189 | | record confidentiality and health information. (1) Statutory provisions2 |
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190 | 190 | | concerning policies, procedures, and references to the release, sharing,3 |
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191 | 191 | | and use of medical records and health information include the following:4 |
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192 | 192 | | (aaa) Sections 25-4-406 and 25-4-409 SECTION 25-4-406,5 |
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193 | 193 | | concerning the reporting of sexually transmitted infections;6 |
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194 | 194 | | SECTION 9. In Colorado Revised Statutes, 27-60-104, amend7 |
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195 | 195 | | (3.5) as follows:8 |
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196 | 196 | | 27-60-104. Behavioral health crisis response system - crisis9 |
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197 | 197 | | service facilities - walk-in centers - mobile response units - report.10 |
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198 | 198 | | (3.5) Mobile crisis programs and crisis walk-in centers shall provide11 |
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199 | 199 | | crisis response screening services to any AN individual seeking such12 |
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200 | 200 | | services, including youth of any age, |
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201 | 201 | | WITH CONSENT FROM THE YOUTH 'S13 |
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202 | 202 | | PARENT OR LEGAL GUARDIAN , and an individual with a disability, as14 |
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203 | 203 | | defined in the federal "Americans with Disabilities Act of 1990", 4215 |
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204 | 204 | | U.S.C. sec. 12101 et seq., as amended, regardless of primary diagnosis,16 |
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205 | 205 | | co-occurring conditions, or if the individual requires assistance with17 |
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206 | 206 | | activities of daily living, as defined in section 12-270-104. All additional18 |
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207 | 207 | | or corresponding behavioral health services beyond the crisis response19 |
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208 | 208 | | screening must be provided in accordance with all applicable state laws,20 |
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209 | 209 | | including, but not limited to, sections 12-245-203.5, 13-22-102, |
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210 | 210 | | 21 |
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211 | 211 | | 27-65-103 and 27-65-104.22 |
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212 | 212 | | SECTION 10. In Colorado Revised Statutes, 27-60-109, add23 |
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213 | 213 | | (2)(d) as follows:24 |
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214 | 214 | | 27-60-109. Youth mental health services program - established25 |
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215 | 215 | | - report - rules - definitions - repeal. (2) (d) A |
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216 | 216 | | PROVIDER SHALL NOT26 |
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217 | 217 | | PROVIDE MENTAL HEALTH SERVICES PURSUANT TO THIS SECTION TO A27 |
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218 | 218 | | HB25-1251 |
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219 | 219 | | -7- YOUTH WITHOUT PRIOR CONSENT FROM THE YOUTH 'S PARENT OR LEGAL1 |
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220 | 220 | | GUARDIAN.2 |
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221 | 221 | | SECTION 11. In Colorado Revised Statutes, 27-65-104, amend3 |
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222 | 222 | | (1), (2) introductory portion, (4)(a), (4)(b), (4)(d), (4)(e), and (6); and4 |
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223 | 223 | | repeal (3) as follows:5 |
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224 | 224 | | 27-65-104. Voluntary applications for mental health services6 |
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225 | 225 | | - treatment of minors. (1) Notwithstanding any other provision of law,7 |
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226 | 226 | | a minor, who is fifteen years of age or older, whether with or without the8 |
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227 | 227 | | consent of a parent or legal guardian, may consent to UPON CONSENT OF9 |
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228 | 228 | | THE MINOR'S PARENT OR LEGAL GUARDIAN , MAY receive mental health10 |
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229 | 229 | | services to be rendered by a facility, a professional person, or mental11 |
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230 | 230 | | health professional licensed pursuant to part 3, 4, 5, 6, or 8 of article 24512 |
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231 | 231 | | of title 12 in any practice setting. Such consent is not subject to13 |
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232 | 232 | | disaffirmance because of minority. The professional person or licensed14 |
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233 | 233 | | mental health professional rendering mental health services to a minor15 |
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234 | 234 | | may, with or without the consent of the minor, advise the minor's parent16 |
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235 | 235 | | or legal guardian of the services given or needed.17 |
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236 | 236 | | (2) A minor who is fifteen years of age or older or a minor's18 |
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237 | 237 | | parent or legal guardian, on the minor's behalf, may make a voluntary19 |
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238 | 238 | | application for hospitalization |
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239 | 239 | | OF THE MINOR. An application for20 |
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240 | 240 | | hospitalization on behalf of a minor who is under fifteen years of age and |
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241 | 241 | | 21 |
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242 | 242 | | who is a ward of the department must not be made unless a guardian ad22 |
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243 | 243 | | litem has been appointed for the minor or a petition for the same has been23 |
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244 | 244 | | filed with the court by the agency having custody of the minor; except24 |
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245 | 245 | | that such an application for hospitalization may be made under emergency25 |
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246 | 246 | | circumstances requiring immediate hospitalization, in which case the26 |
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247 | 247 | | agency shall file a petition for appointment of a guardian ad litem within27 |
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248 | 248 | | HB25-1251 |
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249 | 249 | | -8- seventy-two hours after application for admission is made, and the court1 |
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250 | 250 | | shall immediately appoint a guardian ad litem. Procedures for2 |
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251 | 251 | | hospitalization of a minor may proceed pursuant to this section once a3 |
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252 | 252 | | petition for appointment of a guardian ad litem has been filed, if4 |
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253 | 253 | | necessary. Whenever an application for hospitalization is made, an5 |
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254 | 254 | | independent professional person shall MUST interview the minor and6 |
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255 | 255 | | conduct a careful investigation into the minor's background, using all7 |
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256 | 256 | | available sources, including, but not limited to, the minor's parents or8 |
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257 | 257 | | legal guardian, the minor's school, and any other social service agencies.9 |
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258 | 258 | | Prior to admitting a minor for hospitalization, the independent10 |
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259 | 259 | | professional person shall MUST make the following findings:11 |
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260 | 260 | | (3) An interview and investigation by an independent professional12 |
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261 | 261 | | person is not required for a minor who is fifteen years of age or older and13 |
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262 | 262 | | who, upon the recommendation of the minor's treating professional14 |
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263 | 263 | | person, seeks voluntary hospitalization with the consent of the minor's15 |
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264 | 264 | | parent or legal guardian. In order to assure that the minor's consent to16 |
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265 | 265 | | such hospitalization is voluntary, the minor shall be advised, at or before17 |
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266 | 266 | | the time of admission, of the minor's right to refuse to sign the admission18 |
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267 | 267 | | consent form and the minor's right to revoke the minor's consent at a later19 |
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268 | 268 | | date. If a minor admitted pursuant to this subsection (3) subsequently20 |
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269 | 269 | | revokes the minor's consent after admission, a review of the minor's need21 |
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270 | 270 | | for hospitalization pursuant to subsection (4) of this section must be22 |
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271 | 271 | | initiated immediately.23 |
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272 | 272 | | (4) (a) The need for continuing hospitalization of all voluntary24 |
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273 | 273 | | minor patients must be formally reviewed at least every two months.25 |
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274 | 274 | | Review pursuant to this subsection (4) must fulfill the requirement26 |
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275 | 275 | | specified in section 19-1-115 (8) when the minor is fifteen years of age27 |
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276 | 276 | | HB25-1251 |
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277 | 277 | | -9- or older and consenting to hospitalization.1 |
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278 | 278 | | (b) The review must be conducted by an independent professional2 |
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279 | 279 | | person who is not a member of the minor's treating team; or if the minor,3 |
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280 | 280 | | the minor's physician and the minor's parent or legal guardian do not4 |
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281 | 281 | | object to the need for continued hospitalization, the review required5 |
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282 | 282 | | pursuant to this subsection (4) may be conducted internally by the hospital6 |
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283 | 283 | | staff.7 |
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284 | 284 | | (d) Ten days prior to the review, the patient representative at the8 |
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285 | 285 | | mental health facility shall notify the minor |
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286 | 286 | | AND THE MINOR'S PARENT OR9 |
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287 | 287 | | LEGAL GUARDIAN of the date of the review. and shall assist the minor in |
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288 | 288 | | 10 |
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289 | 289 | | articulating to the independent professional person the minor's wishes11 |
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290 | 290 | | concerning continued hospitalization.12 |
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291 | 291 | | (e) Nothing in this section limits a minor's |
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292 | 292 | | PARENT'S OR LEGAL13 |
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293 | 293 | | GUARDIAN'S right to seek THE MINOR'S release from the facility pursuant14 |
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294 | 294 | | to any other provision of law.15 |
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295 | 295 | | (6) (a) When a minor |
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296 | 296 | | MINOR'S PARENT OR LEGAL GUARDIAN does16 |
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297 | 297 | | not consent to or objects to continued hospitalization, the need for such17 |
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298 | 298 | | continued hospitalization must, within ten days, be reviewed pursuant to18 |
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299 | 299 | | subsection (4) of this section by an independent professional person who19 |
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300 | 300 | | is not a member of the minor's treating team and who has not previously20 |
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301 | 301 | | reviewed the minor pursuant to this subsection (6). The minor shall AND21 |
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302 | 302 | | THE MINOR'S PARENT OR LEGAL GUARDIAN MUST be informed of the22 |
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303 | 303 | | results of the review within three days after the review's completion. If23 |
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304 | 304 | | the conclusion reached by the professional person is that the minor no24 |
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305 | 305 | | longer meets the standards for hospitalization specified in subsection (2)25 |
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306 | 306 | | of this section, the minor must be discharged.26 |
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307 | 307 | | (b) If, twenty-four hours after being informed of the results of the27 |
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308 | 308 | | HB25-1251 |
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309 | 309 | | -10- review specified in subsection (6)(a) of this section, a minor continues to1 |
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310 | 310 | | affirm the objection to hospitalization, the director of the facility or the2 |
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311 | 311 | | director's duly appointed representative shall advise the minor that the3 |
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312 | 312 | | minor has the right to retain and consult with an attorney at any time and4 |
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313 | 313 | | that the director or the director's duly appointed representative shall file,5 |
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314 | 314 | | within three days after the request of the minor, a statement requesting an6 |
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315 | 315 | | attorney for the minor or, if the minor is under fifteen years of age, a7 |
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316 | 316 | | guardian ad litem. The minor; the minor's attorney, if any; and the minor's8 |
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317 | 317 | | parent, legal guardian, or guardian ad litem, if any, shall be given written9 |
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318 | 318 | | notice that a hearing upon the recommendation for continued10 |
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319 | 319 | | hospitalization may be had before the court or a jury upon written request11 |
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320 | 320 | | directed to the court pursuant to subsection (6)(d) of this section.12 |
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321 | 321 | | (c) Whenever the statement requesting an attorney is filed with the13 |
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322 | 322 | | court, the court shall ascertain whether the minor has retained counsel,14 |
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323 | 323 | | and, if the minor has not, the court shall, within three days, appoint an15 |
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324 | 324 | | attorney to represent the minor, or if the minor is under fifteen years of16 |
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325 | 325 | | age, a guardian ad litem. Upon receipt of a petition filed by the guardian17 |
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326 | 326 | | ad litem, the court shall appoint an attorney to represent the minor under18 |
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327 | 327 | | fifteen years of age.19 |
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328 | 328 | | (d) (I) The minor or the minor's attorney or guardian ad litem may,20 |
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329 | 329 | | at any time after the minor has continued to affirm the minor's objection21 |
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330 | 330 | | to hospitalization pursuant to subsection (6)(b) of this section, file a22 |
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331 | 331 | | written request that the recommendation for continued hospitalization be23 |
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332 | 332 | | reviewed by the court or that the treatment be on an outpatient basis. If24 |
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333 | 333 | | review is requested, the court shall hear the matter within ten days after25 |
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334 | 334 | | the request, and the court shall give notice of the time and place of the26 |
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335 | 335 | | hearing to the minor; the minor's attorney, if any; the minor's parents or27 |
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336 | 336 | | HB25-1251 |
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337 | 337 | | -11- legal guardian; the minor's guardian ad litem, if any; the independent1 |
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338 | 338 | | professional person; and the minor's treating team. The hearing must be2 |
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339 | 339 | | held in accordance with section 27-65-113; except that the court or jury3 |
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340 | 340 | | shall determine that the minor is in need of care and treatment if the court4 |
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341 | 341 | | or jury makes the following findings:5 |
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342 | 342 | | (A) That the minor has a mental health disorder and is in need of6 |
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343 | 343 | | hospitalization;7 |
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344 | 344 | | (B) That a less restrictive treatment alternative is inappropriate or8 |
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345 | 345 | | unavailable; and9 |
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346 | 346 | | (C) That hospitalization is likely to be beneficial.10 |
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347 | 347 | | (II) At the conclusion of the hearing, the court may enter an order11 |
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348 | 348 | | confirming the recommendation for continued hospitalization, discharge12 |
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349 | 349 | | the minor, or enter any other appropriate order.13 |
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350 | 350 | | (e) For purposes of this subsection (6), "objects to hospitalization"14 |
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351 | 351 | | means that a minor, with the necessary assistance of hospital staff, has15 |
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352 | 352 | | written the minor's objections to continued hospitalization and has been16 |
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353 | 353 | | given an opportunity to affirm or disaffirm such objections forty-eight17 |
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354 | 354 | | hours after the objections are first written.18 |
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355 | 355 | | (f) A minor may not again object to hospitalization pursuant to19 |
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356 | 356 | | this subsection (6) until ninety days after conclusion of proceedings20 |
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357 | 357 | | pursuant to this subsection (6).21 |
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358 | 358 | | (g) In addition to the rights specified in section 27-65-119 for22 |
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359 | 359 | | persons receiving evaluation, care, or treatment, a written notice23 |
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360 | 360 | | specifying the rights of minor children under this section must be given24 |
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361 | 361 | | to each minor upon admission to hospitalization.25 |
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362 | 362 | | SECTION 12. In Colorado Revised Statutes, 27-65-119, amend26 |
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363 | 363 | | (5) as follows:27 |
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364 | 364 | | HB25-1251 |
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365 | 365 | | -12- 27-65-119. Rights of respondents certified for short-term1 |
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366 | 366 | | treatment or long-term care and treatment. (5) Any respondent2 |
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367 | 367 | | receiving evaluation or treatment under any of the provisions of this3 |
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368 | 368 | | article 65 is entitled to a written copy and verbal description in a language4 |
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369 | 369 | | or modality accessible to the person of all the rights enumerated in this5 |
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370 | 370 | | section. and a minor child must receive written notice of the minor's6 |
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371 | 371 | | rights as provided in section 27-65-104 (6)(g). A list of the rights must be7 |
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372 | 372 | | prominently posted in all evaluation and treatment facilities in the8 |
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373 | 373 | | predominant languages of the community and explained in a language or9 |
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374 | 374 | | modality accessible to the respondent. The facility shall assist the10 |
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375 | 375 | | respondent in exercising the rights enumerated in this section.11 |
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376 | 376 | | SECTION 13. In Colorado Revised Statutes, 27-65.5-101,12 |
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377 | 377 | | amend (2) introductory portion and (2)(l) as follows:13 |
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378 | 378 | | 27-65.5-101. Eating disorder treatment and recovery facilities14 |
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379 | 379 | | - rules. (2) The state board of human services shall promulgate ADOPT15 |
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380 | 380 | | rules for eating disorder treatment and recovery facilities that must:16 |
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381 | 381 | | (l) Prior to involuntarily placing a feeding tube for a minor17 |
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382 | 382 | | patient, require the eating disorder treatment and recovery facility to18 |
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383 | 383 | | obtain informed written consent from both the patient and the patient's19 |
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384 | 384 | | parent or legal guardian. if the patient is fifteen years of age or older or20 |
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385 | 385 | | from only the patient's parent or legal guardian if the patient is fourteen21 |
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386 | 386 | | years of age or younger. If a patient is fifteen years of age or older and22 |
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387 | 387 | | does not consent to or objects to the continued use of an involuntary23 |
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388 | 388 | | feeding tube, the patient may seek review pursuant to section 27-65-10424 |
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389 | 389 | | (6).25 |
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390 | 390 | | SECTION 14. In Colorado Revised Statutes, 27-81-109, amend26 |
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391 | 391 | | (1) and (3) as follows:27 |
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392 | 392 | | HB25-1251 |
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393 | 393 | | -13- 27-81-109. Voluntary treatment of persons with substance use1 |
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394 | 394 | | disorders. (1) A person with a substance use disorder including a minor2 |
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395 | 395 | | OR THE PARENT OR LEGAL GUARDIAN OF A MINOR , ON BEHALF OF THE3 |
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396 | 396 | | MINOR, may apply for voluntary treatment directly to an approved4 |
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397 | 397 | | treatment facility.5 |
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398 | 398 | | (3) If a patient receiving residential care leaves an approved6 |
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399 | 399 | | treatment facility, the person |
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400 | 400 | | OR THE PARENT OR LEGAL GUARDIAN OF A7 |
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401 | 401 | | MINOR, ON BEHALF OF THE MINOR, is encouraged to consent to outpatient8 |
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402 | 402 | | treatment or supportive services, if appropriate.9 |
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403 | 403 | | SECTION 15. In Colorado Revised Statutes, 27-81-110, amend10 |
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404 | 404 | | (1) and (3) as follows:11 |
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405 | 405 | | 27-81-110. Voluntary treatment for persons intoxicated by12 |
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406 | 406 | | alcohol, under the influence of drugs, or incapacitated by substances.13 |
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407 | 407 | | (1) A person intoxicated by alcohol, under the influence of drugs, or14 |
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408 | 408 | | incapacitated by substances including a minor if provided by rules of the |
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409 | 409 | | 15 |
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410 | 410 | | BHA, may voluntarily admit the person's self to an approved treatment16 |
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411 | 411 | | facility for an emergency evaluation to determine need for treatment; |
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412 | 412 | | IF17 |
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413 | 413 | | THE PERSON IS A MINOR, THE MINOR'S PARENT OR LEGAL GUARDIAN MUST18 |
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414 | 414 | | CONSENT VERBALLY OR IN WRITING .19 |
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415 | 415 | | (3) Except as provided in subsection (7) of this section, a20 |
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416 | 416 | | treatment facility shall immediately release a voluntarily admitted person21 |
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417 | 417 | | upon the person's |
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418 | 418 | | OR THE PERSON'S PARENT OR LEGAL GUARDIAN, IF THE22 |
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419 | 419 | | PERSON IS A MINOR, request.23 |
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420 | 420 | | SECTION 16. In Colorado Revised Statutes, repeal24 |
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421 | 421 | | 12-245-203.5, 13-22-103, 13-22-103.5, 13-22-105, and 25-4-409.25 |
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422 | 422 | | SECTION 17. Act subject to petition - effective date. This act26 |
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423 | 423 | | takes effect at 12:01 a.m. on the day following the expiration of the27 |
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424 | 424 | | HB25-1251 |
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425 | 425 | | -14- ninety-day period after final adjournment of the general assembly; except1 |
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426 | 426 | | that, if a referendum petition is filed pursuant to section 1 (3) of article V2 |
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427 | 427 | | of the state constitution against this act or an item, section, or part of this3 |
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428 | 428 | | act within such period, then the act, item, section, or part will not take4 |
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429 | 429 | | effect unless approved by the people at the general election to be held in5 |
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430 | 430 | | November 2026 and, in such case, will take effect on the date of the6 |
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431 | 431 | | official declaration of the vote thereon by the governor.7 |
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432 | 432 | | HB25-1251 |
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433 | 433 | | -15- |
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